Haunan, Muhammad Hafiz
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Enhancing the Patient Safety Program in Community Health Centers: The Role of Partnership as Middle Line in Optimizing Continuous Quality Improvement Haunan, Muhammad Hafiz; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: The quality of health services at community health centers, as a first-level health care facility, must be continuously improved to ensure patient safety. However, there are still many challenges in implementing an optimal patient safety program, especially related to the role and function of the Patient Safety Team and Quality Assurance Officer. Method: This study analyzed the organizational structure and effectiveness of the patient safety program at community health centers, based on Mintzberg's organizational model. It evaluates the role of internal and external resources in improving patient safety and proposes structural changes through the concept of partnership to improve patient safety program implementation. Results: The results showed that the implementation of patient safety at the community health center was not optimal, where the many duties of the Quality Team as Middle Manager led to neglect of the main functions in the patient safety quality improvement program. This resulted in ineffective patient safety practices and a lack of safety culture among health workers. This study demonstrates the benefits of a partnership concept to replace the Quality Team. With the implementation of the partnership concept, PHCs can partner with external agencies such as university research centers or consulting agencies as the middle line, which helps in regular monitoring and evaluation, thereby improving the effectiveness and efficiency of the patient safety program at the PHC. External resources can assist in monitoring and evaluation, allowing the Quality Team to focus on other tasks while outsourcing external resources to the patient safety program. Conclusion: Adopting the partnership concept in the organizational structure of community health centers can improve the implementation of patient safety in a sustainable manner. This approach can increase operational efficiency, improve service quality, and build public trust in the health center.
Should the Government Quality Control Agency Replace Community Health Center Accreditation? The Concept of Third Party with Metaregulation and Control Strategies Haunan, Muhammad Hafiz; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Purpose: Community health center accreditation in Indonesia is a method used to ensure that health care facilities perform continuous quality improvement. However, the efficacy of this method is still debatable. Many community health centers focus only on obtaining accreditation certificates without ensuring substantial quality improvement. The lack of empirical evidence supporting the claim that accreditation ensures quality improvement indicates the need for alternative solutions for quality control. Method: This study uses a Third Party approach by employing two policy strategies, namely metaregulation and control strategies. This study compares Indonesian practice with the quality control model implemented by the Care Quality Commission (CQC) in the UK and the Food and Drug Administration (BPOM) in Indonesia. The policies and impacts of the supervision conducted by these independent bodies are analyzed. Results: The analysis shows that the existence of an independent government quality control body can be more effective in ensuring continuous quality improvement than the community health center accreditation system. Case studies of CQC in the UK and BPOM in Indonesia show that regulatory agencies with executive authority are able to provide strict supervision and decisive action against providers who do not meet standards. The implementation of metaregulation and control strategies by government quality oversight bodies can encourage health centers to be more proactive in conducting continuous quality improvement. Supervisory bodies that are directly accountable to the central government can reduce interventions from interested parties, ensuring objectivity and effectiveness of supervision. Conclusion: Replacing the accreditation of community health centers with a Government Quality Control Agency that is independent and has executive authority can be a solution to ensure continuous quality improvement of health services in community health centers. The implementation of metaregulation and control strategies in the Third Party concept will create a more effective and sustainable regulatory environment. Thus, monitoring the quality of health services will be more assured, not only limited to meeting formal standards, but also ensuring continuous improvement in the practice of health services at community health centers.